Funding Application Form

1. You or your group /organisation

Your Name (if an individual) or Organisation Name (if a group or organisation):

Your telephone number (required)

Organisation Address:

Address 1 (required)

Address 2

Address 3

Postcode

Your Email (required)

Details of Contact person

Name (required)

Position

Email address

Postal Address:

Address 1

Address 2

Address 3

Postcode

If you are an organisation...

Are you one of the following?

Community Sports Club
Registered Charity
NGB
Disability group or organisation
Youth Organisation/Parish Town
Other (Please specify)

When did your group/organisation start?
If you are an Individual, which club (if any) are you affiliated to?

What are your main aims and objectives or, if you are an Organisation, what are the main aims and objectives of your group/organisation?

Approximately, how many people take part in your organisation's activities each year?

2. About your project or the costs you are applying for funding for

The funding from this grant will be used for
A new projectAn existing project

What are your main aims and objectives or, if you are an Organisation, what are the main aims and objectives of your group/organisation?

Describe the project or costs you are asking a grant for

Why is this project needed or why do these costs need to be incurred?

Approximately, how many people will benefit from the grant? (if a group or organisation)

What age groups will benefit? (if a group or organisation)
11–1616–1919–2525+

When will this project be taking place? (Estimated start / end date, number of sessions, weekly etc.

3. Cost of the project

Total cost of the project or items you are applying for funding for

Amount of money you are applying for: (between £200 to £2,500 per application)

Please provide a breakdown of the total cost of this project including VAT if applicable NB: Please provide quotes or weblinks for any kit, equipment, travel costs, training costs you intend to fund through this grant

What funds have you raised/applied for so far for this project (if a group or organisation) or for your own development to date (if an individual)?
Include: Where from - Cost - Secured? - When will you hear (if not yet confirmed?)

4. Sustainability / Impact

What outcomes do you predict will be evident due to the funding been awarded?
e.g. increase participation/volunteers, increase club membership (for groups or organisations) or will enable me to complete my coaching qualifications or will enable me to travel to [ ] to compete in [ ] tournament (for individuals)

What evidence will you provide to show your predicted outcomes have been achieved?

How will the project continue after the grant has been spent? (if a group or organisation) or
How do you see your personal development continuing after the grant has been spent? (if an individual)

5. Other points

Please use this space to provide any other information that you feel is important to this application:

6. Declaration

I am authorised to make the application on my behalf or on behalf of the above organisation;

6.2 I certify that the information contained in this application is correct;

6.3 If the information in the application changes in any way I will inform The Freddie Pring Memorial Fund immediately;

6.4 I will feed information back to the Freddie Pring Memorial Fund on the success of the project including a case study (a template will be given if funding application is successful); and

6.5 I give permission for the Freddie Pring Memorial Fund to record the information in this form electronically and to contact me or my organisation by phone, post or email with information about its activities and about funding opportunities.

Signed

Date

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